Jessica Lynn Blievernicht, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6335 Issued in OR

Practice address

1510 Underwood Ave
Wauwatosa, WI 53213-2619

Phone

(262) 375-1075

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Lynn Kruetzer Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Renovation Physical Therapy SCGroup PAC ID 3779688403, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.05 of 100Reported as group

Quality

88.38

Improvement activities

40

Cost

64.82

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Renovation Physical Therapy SC

  • Physical Therapist
  • Grafton, WI
  • NPI 1871664243
  Medicare reassignment Care Compare group NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464
  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1366710584
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD
• Body Renovation Health Services, S.C.

  • Physical Therapy Clinic/Center
  • Grafton, WI
  • NPI 1023210812
  NPD (past)
• Elite Sport & Spine, LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1053740803

  Physical Therapist

  NPD (past)
• LHCG Xlvii, LLC

  • Home Health Agency
  • Brookfield, WI
  • NPI 1336584275
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1700149358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 UNDERWOOD AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132619",
            "telephone_number": "262-375-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIEVERNICHT",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649765",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KRUETZER",
            "middle_name": "LYNN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blessed Babies LLC.
• Blessed Healthcare
• Blessit Hands Home Health Services LLC
• Blessit Hands Personal Care Agency
• Jennifer Bliefernicht
• Brian J Blocher, DDS
• Jerry M Bloomstein, MD
• Cristina Blot, M. D.
• Harvey Michael Bock, M.D.
• Paul Nathanael Boechler

• Physical Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.